Transforming Healthcare with near Real-Time Analytics Customer Challenge The goal of Modernizing Medicine® is to increase efficiency and improve outcomes by transforming creation and consumption of healthcare information. Its data-driven electronic health records (EHR) and practice management (PM) systems transform the clinical, financial and operational aspects of medical practices. Why did the customer choose AWS and Cloudwick as an AWS partner? Modernizing Medicine turned to Cloudwick to support this goal. Cloudwick provided the company with its AWS Modern Analytics QuickStart services, aiding with data ingestion from MySQL to Cloudera CDH, integrating the company’s applications for predictive analytics, and providing professional services to ensure Health Insurance Portability and Accountability Act (HIPAA) and Protected Health Information (PHI) compliance. Cloudwick Solution Modernizing Medicine has developed a specialty-specific electronic medical records (EMR) platform. The solution incorporates features like digital record tracking, revenue cycle management, along with advanced analytics enabling managers to make informed decisions about patients and their practices. The EMR application uses MySQL databases running on Amazon Web Services. A mix of Hadoop, Microsoft SQL and MySQL data-marts and various visualization tools enables analytics. To support visualization and reporting, Modernizing Medicine developed a Sqoop based data ingestion process that took data from the MySQL sharded environments into a Cloudera-based Hadoop cluster running on AWS EC2 instances. There were about 800 tables to import daily with a total data size of roughly 4.7 TB. Many of these tables were small and a Cloudera CDH cluster was running with a fixed number of nodes regardless of the ingestion workload. These factors resulted in a load time exceeding 48 hours, impacting their ability to use this data to manage their practices. To eliminate the delay and introduce near- real time predictive analytics, Modernizing Medicine moved to transient AWS EMR Spark clusters to handle the data ingestion, providing flexibility, performance, cost savings and reliability improvements. The new data ingestion process runs within 3 hours, enabling Modernizing Medicine to make crucial healthcare and business decisions with near real-time data. About Modernizing Medicine Modernizing Medicine offers electronic health records, practice management, revenue cycle management and data analytics for doctors, and has software for dermatologists, ophthalmologists, orthopedic surgeons, gastroenterologists, plastic surgeons, ENTs (or otolaryngologists), urologists and pain management physicians. As part of its business model, Modernizing Medicine uses practicing doctors to help program the software for each specialty.